Smith, Heather C

Smith, Heather C is an individual health care provider with primary practice located at 1001 E Wt Harris Blvd Suite H, Charlotte NC 28213-4104. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smith, Heather C can be contacted via phone (704) 549-4523.

Contact Information

Primary practice address
1001 E Wt Harris Blvd Suite H Charlotte NC 28213-4104
Fax: (704) 549-0606
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1651 North Carolina

Profile Details

NPI number 1750380796
LBN Legal business name Smith, Heather C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750380796 NPPES
North Carolina Other 800127 COMMUNITY EYE CARE
North Carolina Other 800127 COMMUNITY EYE CARE
North Carolina Other 093TK COMMUNITY EYE CARE
North Carolina MEDICAID 5900620 COMMUNITY EYE CARE

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